RESUMO
Background: Tibial diaphysial fractures are among the notorious fractures as far as management is concerned
Objective: To compare the outcome [union] between reamed and unreamed nailing in transverse tibial diaphysial fractures
Patients and Methods: Study Design: Experimental study. Setting: Department of Orthopaedic Surgery, Bahawal Victoria Hospital Bahawalpur. Study Duration: 8 months from 1[st] January 2009 to 31[st] August 2009. Study subjects: 210 patients were divided into two groups A and B. Group A patients were managed by reamed interlocking nail tibia and group B patients by unreamed interlocking nail tibia. Follow up was done up to 3 months and outcome in terms of union was compared between two groups. 15 patients in each group were lost to followup so data analysis was done on 180 patients. Union was achieved in 80% of patients in group A while 70% in group B. Our study suggests that reamed interlocking nail tibia is better treatment option than unreamed interlocking nail tibia
RESUMO
To study the outcome of open reduction and fixation with K wires of supracondylar fractures of humerus in children presenting between 2-14 days after injury. Case series. Department of Orthopaedics, B.V.Hospital Bahawalpur, from April 2009 to March 2010. This study included patients with displaced extension type supracondylar fracture of the humerus [Gartland type III] who presented between 2-14 days post injury. Open reduction and internal fixation[ORIF] with crossed K-wire was done. The results were assessed by the criteria described by Flynn et al and Mark et al. The average age of patients was 4.5 year. The average hospital stay was 2 days [range 1-3 day]. The average duration of follow-up was 15 months [range: 12-24 months]. Forty patients were managed during the study period. Eighteen [45%] patients had excellent results with less than 5 degree loss of range of motion and minimal loss of carrying angle; thirteen [32.5%] had good results out of which seven had less than 10 degree loss of carrying angle and six had less than 20 degree loss of motion. Six [15%] had fair results due to transient nerve lesions. One of the six patients had 30 degree loss of motion. The remaining three [7.5%] had poor results due to varus deformity that needed corrective surgery. Delayed presentation of displaced supracondylar humerus fractures in children did not increase complication rates or unsatisfactory results following an open reduction and internal fixation with K wires. It is a safe and effective method of treatment even with delayed presentation of supracondylar fractures of humerus in children
RESUMO
Total intracranial migration of the shunt is a rare complication of ventriculoperitoneal shunt placement for treatment of hydrocephalus. The authors report a case of total intracranial migration of ventriculoperitoneal shunt in a child with a very large head and discuss the possible causes and management